Sari R, Yildirim B, Sevinc A, Buyukberber S
Inonu University, School of Medicine, Department of Internal Medicine, Malatya, Turkey.
Indian J Gastroenterol. 2000 Jan-Mar;19(1):31-2.
We report two patients with idiopathic hypoparathyroidism and celiac disease. Both had undergone surgery for cataract previously. The patients presented with tetany in the absence of gastrointestinal complaints. Investigations showed severe hypocalcemia, hypoparathyroidism, flattening of duodenal villi histologically, and diffuse cerebral and basal ganglia calcifications on CT scan. After a gluten-free diet with calcium supplementation, the clinical situation and biochemical values improved.
我们报告了两名患有特发性甲状旁腺功能减退症和乳糜泻的患者。两人此前均接受过白内障手术。患者在无胃肠道不适的情况下出现手足搐搦。检查显示严重低钙血症、甲状旁腺功能减退、十二指肠绒毛组织学扁平,以及CT扫描显示脑和基底节弥漫性钙化。在采用无麸质饮食并补充钙后,临床情况和生化指标有所改善。